| NPI | 1205013687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81544) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0209991) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2026-02-07 |